Berry, Mark

Berry, Mark is an sole proprietor health care provider with primary practice located at 21044 Sherman Way Ste 201 , Canoga Park CA 91303-3648. He recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Berry, Mark can be contacted via phone (818) 626-2695.

Contact Information

Primary practice address
21044 Sherman Way Ste 201 Canoga Park CA 91303-3648
Phone: (818) 626-2695
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 133NN1002 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California

Profile Details

NPI number 1689087264
LBN Legal business name Berry, Mark
Credentials O.M.D., D.M.Q.,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2014
Last updated Jun 11th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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